2018
DOI: 10.1016/j.drugalcdep.2018.06.009
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Frequent experience of discrimination among people who inject drugs: Links with health and wellbeing

Abstract: Our findings highlighted that frequent discrimination may lead to worse health and wellbeing among PWID. If our findings are supported by other research, policies aimed at reducing discrimination against PWID may be warranted or improved.

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Cited by 33 publications
(22 citation statements)
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“…For example, research by Friedman et al (2017) showed that after people who inject drugs experienced interpersonal attacks on their dignity, they partook in riskier health behaviors, such as needle sharing. Similarly, an Australian study found that among people who inject drugs, those who reported discrimination in the past 12 months had elevated rates of overdose, diminished physical functioning, and mental illness (Couto e Cruz et al, 2018). The primary sources of discrimination reported by participants in this study included pharmacies, doctors, and hospitals.…”
Section: Introductionmentioning
confidence: 62%
“…For example, research by Friedman et al (2017) showed that after people who inject drugs experienced interpersonal attacks on their dignity, they partook in riskier health behaviors, such as needle sharing. Similarly, an Australian study found that among people who inject drugs, those who reported discrimination in the past 12 months had elevated rates of overdose, diminished physical functioning, and mental illness (Couto e Cruz et al, 2018). The primary sources of discrimination reported by participants in this study included pharmacies, doctors, and hospitals.…”
Section: Introductionmentioning
confidence: 62%
“…The self-stigma and discrimination experienced by PWUD because of their drug use (i.e., stigma related to drug use) has not been adequately considered as a risk factor for opioid overdose despite increasing evidence linking stigma with health outcomes, injection-related risk behaviors, and utilization of harm reduction services (Cama, Brener, Wilson, & von Hippel, 2016;Couto E Cruz, Salom, Dietze, et al, 2018;Kulesza, Larimer, & Rao, 2013;Latkin et al, 2010;Rivera, DeCuir, Crawford, Amesty, & Lewis, 2014;von Hippel, Brener, & Horwitz, 2018;Wilson, Brener, Mao, & Treloar, 2014). Internalized stigma (i.e.…”
Section: Introductionmentioning
confidence: 99%
“…Additionally, enacted stigma (i.e. experiences of discrimination or being stereotyped because of drug use) has similarly been associated with depression and poor mental and physical well-being (Couto E Cruz, Salom, Dietze, et al, 2018;Kulesza et al, 2013), as well as with injection behaviors that increase overdose risk, such as being injected by someone else (Wilson et al, 2014). To our knowledge, only one study has examined the association of discrimination with overdose and found that experiencing discrimination because of drug use on a weekly or more frequent basis was associated with 60% higher odds of overdosing (Couto E Cruz, Salom, Dietze, et al, 2018).…”
Section: Introductionmentioning
confidence: 99%
“…Fewer participants reported receiving vaccination at GPs and A&E services. This may be due to PWID not disclosing their injecting drug use to health care professional when using these services due to concerns about negative responses [1, 28, 29]. Structural barriers increase vulnerability and can also prevent equitable access to services [1].…”
Section: Discussionmentioning
confidence: 99%